EBP Compendium: Summary of Clinical Practice Guideline
New Zealand Guidelines Group; Ministry of Health; Stroke Foundation
Life after Stroke: New Zealand Guideline for Management of Stroke
New Zealand Guidelines Group
Wellington (New Zealand): New Zealand Guidelines Group, 84 pages.
AGREE Rating: Highly Recommended
This guideline provides recommendations for the assessment and acute and post-acute management of stroke. The audiences intended for this review include health professionals, individuals with stroke and caregivers, and managers/funders of health services. Recommendations are rated A (good evidence), B (fair evidence), C (expert opinion/limited evidence), or recommended as good practice (based on the clinical expertise of the guideline group).
- Assessment Areas
- “Swallowing should be assessed in all people with stroke as soon as possible (and preferably on admission) by appropriately trained personnel using a simple, validated testing protocol” (Level B Evidence) (p. 34).
- “Any person with an abnormal swallow should be seen by a speech and language therapist, who should assess the person further and advise the person and staff on safe swallowing techniques and strategies and the consistency of diet and fluids” (Level A Evidence) (p. 34).
- General Findings - “People with aphasia following stroke should be referred to a speech and language therapist for assessment and appropriate management of their communication difficulty” (Level B Evidence) (p. 50).
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Added to Compendium: November 2010